Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD429895 | PA |
N | 111NI0900X | Internist | MD429895 | PA |
Y | 207RH0003X | Hematology & Oncology | 260542 | NY |
NPI | 1063575447 |
---|---|
Provider Name | Chunkit Fung |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 17/11/2011 |